This web page written by thoracic surgeon Fred Grannis MD represents an attempt to provide smokers, lung cancer patients and their families with information on cigarette smoking, cessation, lung cancer risk, diagnosis and treatment.

THE LUNG CANCER
AND
CIGARETTE SMOKING
WEB PAGE


Established January 1996 by Frederic W. Grannis Jr. MD,
last updated June21, 2006 by FWG.

Starting in July, 1999 the web design was strikingly improved by one of my patients
Stephen R. Teel
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Visit the Cyber Gallery of Images of Diseases Caused by Tobacco
Under Construction

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StudyWeb

Kick the Smoking Habit ! - AWARD WINNER 2001 - QuitSmokingNews.com

This web page is dedicated to the memory of Stephen Teel.

Steve was my patient, as well as a friend and long-time collaborator, who provided the web design and web services for this page. He died on July 31, 2004 at age 46 after a valiant 7-year struggle against cancers of the head and neck, lung and esophagus. Steve made a valuable contribution to society by creating a web site where cancer survivors could tell their life stories.

His family maintains Steve’s web page, including the illustrated web-diary of his illness at Cancer Warriors . Steve will be badly missed.

If you have reached The Lung Cancer and Cigarette Smoking Web Page on Compuserve, please be advised of the following change of address. The Lung Cancer and Cigarette Smoking Web Page was established in January 1996 at URL http://ourworld.compuserve.com/homepages/lungcancer Because of problems maintaining the page at this ISP location, the page has been moved to a new location. The new up-dated, expanded and redesigned web page can be found at http://www.smokinglungs.com Please clink on the following link to be transferred to the new and improved web site. http://www.smokinglungs.com

Lung cancer is the number one cause of cancer deaths in both men and women in the United States.
More than 154,000 Americans will die from lung cancer in 2002.
Only 12-15% of patients with lung cancer are being cured with today's treatments.
More than 90% of lung cancers are preventable.
Definition: ``A cigarette is a euphemism for a cleverly crafted product that delivers just the right amount of nicotine to keep its user addicted for life before killing the person.'' World Health Organization director-general Gro Harlem Brundtland
Recent polls indicate that, despite all accumulated knowledge on the subject of diseases caused by tobacco products, a shockingly high percentage of smokers continue to believe that their cigarettes will not cause them harm. This page is dedicated to changing this intolerable ignorance. It is my hope that anyone who visits here and browses through the pages of the Lung Cancer and Cigarette Smoking Web Page will leave with eyes open to the danger of lung cancer and other diseases caused by tobacco.
A recent National Cancer Institute focus group suggests that many ex-smokers believe that they are no longer at risk for lung cancer. This is a dangerous misperception. Unfortunately, some risk of lung cancer persists for many years following smoking cessation. The good news is that the risk diminishes with the passage of time.
The overwhelming majority of lung cancers, greater than 90%, are caused by cigarette smoking. There are currently almost fifty million smokers in the U.S. and another fifty million are ex-smokers.
This means that approximately one third of the population of our country is at high risk for this terrible disease and for multiple other tobacco-related diseases, including cancers of the mouth, tongue, throat, larynx, esophagus, pancreas, bladder and kidney, and also at risk for coronary artery disease, peripheral artery disease, gangrene of the legs and stroke.


Please create a bookmark to this site before following a link to another web page. That way, you will be able to find your way back here in case you are disconnected.

If one picture is worth a thousand words, then perhaps the best place to start is with a few pictures of lung cancer.
Lung Cancer gross pathology from Web Page at the University of Utah Pathology
An xray of the same tumor


My name is Frederic W. Grannis Jr. MD and I am a thoracic surgeon who lives in Long Beach, California, with more than thirty years of experience in the diagnosis and treatment of lung cancer. On June 1, 1996 I joined the full time faculty of the City of Hope National Medical Center in Duarte, California



This is a test version of a web page, first posted in January 1996, that represents an attempt on my part to provide smokers, lung cancer patients and their families with information on cigarette smoking cessation, lung cancer risk, diagnosis and treatment. Whenever my personal opinion is not concordant with current medical practice, I will try to point this out and explain my position.

The views expressed are my own and do not necessarily represent the opinions or positions of any of the organizations mentioned on this page or in any of the pages linked here. This page is completely independent. There is no support of any kind, from any individual or corporate entity.

It is important for the reader to realize that it is impossible to give accurate personal medical advice from a distance. Any information found here or in E-mail must be put into context by discussion with your private physician.

Privacy Policy

When you have finished browsing the page, I would greatly appreciate it if you would return here and fill out a brief questionaire that will help me in the future maintainance of this page. Questionaire

Also, before leaving this web page, I ask that you read the information in the FAQ "What can I do? ". OR Don't get mad; get justice! Our political leaders and our medical establishment have failed miserably in the control of tobacco-caused diseases. Nothing can be done to solve this enormous health care problem unless a large number of citizens demand change in their communities and in ballot boxes!

Please forgive any broken links. It is very difficult to maintain a stable page in a living, growing medium where pages and addresses change all too frequently.

Although this page is intended for the general reader, I get multiple requests for references for school research papers. I am currently building a References file that is available here. It is very much a work in progress.

Cancer Survivors Network

It is important for people surfing the net for medical information to be sure to check on the qualifications of the person or group providing the information. This article by Dr. Barry Tepperman MD explains this concept in considerably greater detail.

My curriculum vitae and bibliography are viewable at these links


An effort will also be made to provide deeper layers of more specialized information on lung cancer for nurses, medical students, physicians in training and practicing physicians. Files written in technical language and intended for health professionals will be marked with an icon
Some of this information is written by me, adapted from lecture notes and publications, and some is in the form of links to other web pages, that I have found to be particularly valuable. Some of the older material may have some information that is out of date.

27% of the E-mail and form responses I receive at this site comes from persons 21 years of age and younger. In an attempt to meet the special needs of this group, who represent a specific target group for predatory tobacco industry marketing and advertising, I have opened a new WWW page entitled

The Young Person's Cyber-Library of Information on Tobacco and Tobacco-Caused Disease.

Young people may wish to follow the link there now.

One glaring weakness of the page is the almost total absence of input from nurses. I welcome links and submissions of information on the nursing care of patients with lung cancer and other smoking related diseases, including palliative care and hospice care.

There is exciting new information on the early detection of lung cancer using low-dose, non-contrast, spiral computerized tomography (CT or CAT scan). Lung Cancer Screening 2002

My experience with this page has been presented at two international chest medical conferences in Gdansk, Poland and in Dublin, Ireland. The abstracts of these presentations can be found at these links.

  • Gdansk
  • Dublin

    The page is arranged into 4 sections.

  • REFERENCES

    Many readers are searching the Web for information for school research projects. This section contains references to primary sources for more detailed information on many of the topics covered in the Q+A sections. References:

    For further information on lung cancer from the National Cancer Institute:

    Small cell lung cancer (Patient) Small cell lung cancer (Physician)
    Nonsmall cell lung cancer (Patient) Nonsmall cell lung cancer (Physician)

    There is an entire book on lung cancer designed for the non-medical general reader.

    With Every Breath: A Lung Cancer Guidebook is a patient-oriented book courtesy of Tina M. St. John, M.D. written for people recently diagnosed with lung cancer and their loved ones. www.lungcancerguidebook.org/


    Other Cancer Related Links

    I have generally avoided links to commercial web pages, but some of these sites offer potentially useful products.

    The No-Butz Web Page dedicated to a cleaner world for our children, free from the disgusting mar of discarded cigarette butts. " Its our world, not an ashtray."

    I would like to thank the following web sites for the use of the backgrounds and icons, counters and other useful services used in this page.

    The Background Sampler


    Questions, criticism, submissions, new links and suggestions are welcomed. I can be reached via e-mail at


    Frederic W. Grannis Jr. M.D

    I will make an effort to answer all non-commercial mail, but there may be significant delays.

      Starting Point Starting Point


    Site Updated by Stephen R. Teel I'LL NEVER GIVE UP
    I
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